Individual
BRADEN YZAGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 379-9794
Mailing address
152 E HILTON AVE, REDLANDS, CA 92373-6879
(909) 379-9794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65348
CA
363A00000X
Physician Assistant
—
CA
Other
Enumeration date
10/01/2024
Last updated
07/29/2025
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